Advance Authorization Specialist

Advocate Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Assess referral work queues
Obtain highly complex authorizations
Manage high volume stat request mailbox
Assess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans

Job Summary

  • Assess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans.
  • Manage high volume Stat request mailbox for all oncology facilities for potential life altering, high-cost treatment and procedures within a short time frame.
  • Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more.

Matching Summary

Assess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans.

Salary

Base: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Assess Referral Work Queues
  • Obtain highly complex authorizations
  • Manage high volume Stat request mailbox
  • Interpret medical records
  • Manage drug list with payors
  • Review laboratory panels
  • Address monthly denials

Nice-to-have

  • Proficient with medical terminology
  • Familiar with clinical considerations

Key Requirements

  • Bachelor's Degree or 3 years of authorization experience
  • General knowledge and background in CPT and HCPCS Coding
  • Excellent written and oral communication skills
  • Microsoft Excel, Word, Epic experience preferred
  • Databases, hospital registration, billing and clinical systems preferred

Work Rights

Not specified

Tailored Resume

Cover Letter